Individual
ASHLEY GORDON PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2004 BEDFORD RD STE 200, BEDFORD, TX 76021-7012
(469) 952-9413
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
53721
TX
1041C0700X
Clinical Social Worker
Primary
53721
TX
Other
Enumeration date
02/06/2024
Last updated
02/12/2025
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